PMID- 22312203 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20120823 LR - 20211021 IS - 1179-1594 (Print) IS - 1179-1594 (Electronic) IS - 1179-1594 (Linking) VI - 2 DP - 2009 TI - Association of overweight and obesity with health status, weight management, and exercise behaviors among individuals with type 2 diabetes mellitus or with cardiometabolic risk factors. PG - 1-7 LID - 10.2147/RMHP.S4562 [doi] AB - OBJECTIVES: This investigation evaluated the role of obesity in health status and behaviors for weight management and exercise among individuals with type 2 diabetes mellitus (T2DM) or cardiometabolic risk factors. METHODS: Self-reported health status, exercise behaviors, and weight management were assessed in the SHIELD study for respondents with T2DM or high risk (HR) for diabetes (ie, >/=3 of the following: abdominal obesity, body mass index [BMI] >/=28 kg/m(2), self-reported diagnosis of dyslipidemia, hypertension, or history of cardiovascular disease). Respondents were stratified into three BMI categories: <25 kg/m(2) (underweight or normal weight), 25.0-29.9 kg/m(2) (overweight), and >/=30 kg/m(2) (obese), with comparisons made using analysis of variance. Comparisons between T2DM and HR were made using chi-square tests. RESULTS: T2DM (n =3,918) and HR (n =5,464) groups were similar for age (mean =59 years), race (>/=85% white), and obesity. Overweight (31%) or obese T2DM (18%) respondents were significantly less likely to report excellent health compared with overweight or obese HR respondents (42% and 30%, respectively), p < 0.001. There were no differences between T2DM and HR groups for exercise behaviors. More obese respondents (20% T2DM, 21% HR) were "contemplating exercising", and fewer (21%-23%) were currently "exercising regularly" compared with overweight and normal weight respondents, p < 0.001. More obese respondents (78% T2DM, 83% HR) attempted weight management than normal (28%-35%) or overweight (57%-61%) respondents, p < 0.001. CONCLUSIONS: Obesity was negatively associated with self-perception of current health, exercising regularly, and weight maintenance for those with or at risk for diabetes. FAU - Gavin, James R 3rd AU - Gavin JR 3rd AD - Emory University School of Medicine, Atlanta, GA, USA. FAU - Rodbard, Helena W AU - Rodbard HW FAU - Fox, Kathleen M AU - Fox KM FAU - Grandy, Susan AU - Grandy S LA - eng PT - Journal Article DEP - 20090112 PL - England TA - Risk Manag Healthc Policy JT - Risk management and healthcare policy JID - 101566264 PMC - PMC3270907 OTO - NOTNLM OT - exercise OT - obesity OT - overweight OT - type 2 diabetes mellitus OT - weight management EDAT- 2009/01/01 00:00 MHDA- 2009/01/01 00:01 PMCR- 2009/01/12 CRDT- 2012/02/08 06:00 PHST- 2012/02/08 06:00 [entrez] PHST- 2009/01/01 00:00 [pubmed] PHST- 2009/01/01 00:01 [medline] PHST- 2009/01/12 00:00 [pmc-release] AID - rmhp-2-001 [pii] AID - 10.2147/RMHP.S4562 [doi] PST - ppublish SO - Risk Manag Healthc Policy. 2009;2:1-7. doi: 10.2147/RMHP.S4562. Epub 2009 Jan 12.